What is CPT code 83880?

CPT code 83880 represents Natriuretic Peptide testing, which falls under Pathology and Laboratory Procedures, specifically Chemistry Procedures. It involves moderate-level medical decision-making.

What factors affect fee schedules for CPT 83880?

Fee schedules for CPT 83880 are affected by government-set rates (Medicare & Medicaid), negotiated rates with private insurance companies, geographic location (costs may be higher in urban areas), and provider type (e.g., hospital vs. private practice).

What is a CPT code and why is it important for understanding medical costs?

A CPT (Current Procedural Terminology) code is a standardized five-digit code used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for consistent communication between doctors, patients, and insurance companies. Understanding CPT codes helps in accurately billing for services, processing insurance claims, and determining the cost or reimbursement for specific procedures.

How can I find out the cost of a specific medical procedure or service?

Medical procedure costs can vary significantly based on your location, the specific healthcare provider, and your insurance plan. To find pricing for a specific medical procedure or service, especially based on a CPT code and your location, you can use a tool like Payerprice. Payerprice offers a fee schedule lookup tool that allows users to search with a CPT code and specific location to get an estimate. It's also advisable to contact your insurance provider and the healthcare facility directly for the most accurate and personalized cost estimates.

What is a fee schedule and how does it relate to medical billing?

A fee schedule is a comprehensive list of fees used by insurance companies and government programs (like Medicare or Medicaid) to determine the maximum amount they will pay for specific medical services, procedures, and supplies. It dictates the reimbursement rates for healthcare providers. When a medical bill is submitted, it is reviewed against the payer's fee schedule to calculate the allowed amount, which is the basis for how much the payer and the patient are responsible for.

Why do medical costs vary so much, even for the same procedure?

Medical costs can vary widely due to several factors. These include geographic location (costs are often higher in urban areas), the type of facility (hospital outpatient departments typically charge more than independent clinics), the specific healthcare provider's negotiated rates with insurance companies, the complexity of the procedure, and market competition. Your insurance plan and its benefits also play a significant role in your out-of-pocket expenses.

Where can I find information about Medicare (CMS) reimbursement rates?

Information about Medicare (CMS) reimbursement rates for various medical services can be found on the official Centers for Medicare & Medicaid Services (CMS) website. CMS publicly releases fee schedules and payment data for services covered by Medicare. These resources provide general information on what Medicare pays, but for specific individual costs, it's always best to consult with your provider or Medicare directly. Remember that these rates apply specifically to Medicare beneficiaries and may differ from private insurance rates.

How can I compare prices for medical services in my area?

Comparing prices for medical services in your area can help you make informed healthcare decisions. For a comprehensive comparison, especially when you have a CPT code and specific location in mind, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool designed for users to search with a CPT code and specific location to compare potential costs. Additionally, you should contact different healthcare providers directly to request price quotes and consult with your insurance company to understand your out-of-pocket responsibilities for various in-network options.

CPT 83880 Fee Schedule

Last Verified: July 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Peptide Hormone Test, This Test Measures The Quantity Of Peptide Hormones In A Blood Sample And Can Help To Diagnose Various Types Of Heart Failure.

Key Fact	Detail
Service Type	Chemistry Procedures Pathology and Laboratory Procedures
Common Place of Service	81 - Independent Laboratory 21 - Inpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 83880

National average reimbursement for CPT 83880 by major payers:

$32.29

$25.56

$44.86

$56.67

Preview provider-level rates for...

For billing codeCPT 83880

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	83880	$20.02	1659323798 - VICTOR DELGADO-ROLON	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Certified Registered Nurse Anesthetist (367500000X)
United	83880	$20.02	1710431770 - TIFFANY APANA	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Family Nurse Practitioner (363LF0000X)
United	83880	$20.02	1003466525 - FRANCES BERNARDO MERCADO	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	TX	Physician Assistant (363A00000X)
United	83880	$32.61	1578587515 - JILL CUNNINGHAM	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	83880	$19.92	1003192311 - EL CAMPO MEMORIAL HOSPITAL	452750258 - (TX) EL CAMPO MEMORIAL HOSPITAL	TX	General Acute Care Hospital (282N00000X)
United	83880	$20.02	1265814685 - DANIEL HEGARTY	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Certified Registered Nurse Anesthetist (367500000X)
United	83880	$32.61	1730636663 - PAIGE SMITHERS	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Medical Physician Assistant (363AM0700X)
United	83880	$20.02	1235408337 - STEPHANIE LANG	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Physician Assistant (363A00000X)
United	83880	$20.02	1881660462 - CARLY PABON	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Nurse Practitioner (363L00000X)
United	83880	$32.61	1518301712 - MARWAN AL-HADDAD	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Dermatology Physician (207N00000X)
United	83880	$20.02	1508121591 - JENNIFER SCHWAMB	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Family Nurse Practitioner (363LF0000X)
United	83880	$23.55	1972708766 - JONATHAN COHEN	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Anesthesiology Physician (207L00000X)
United	83880	$20.02	1487129854 - SUZANNE MARSHALL	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Family Nurse Practitioner (363LF0000X)
United	83880	$20.02	1790259075 - CARLY FARRELL	593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC	FL	Physician Assistant (363A00000X)
United	83880	$32.61	1255503686 - KIMBERLY HURLEY	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Foot & Ankle Surgery Podiatrist (213ES0103X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 83880 vs. Other Pathology and Laboratory Procedures Codes

The CPT 83880 code is part of the Chemistry Procedures services used for Pathology and Laboratory Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 83880 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
83735-CPT	Low	Magnesium Testing, Magnesium Testing Is Done To Assess Kidney Function Diabetes And Calcium Phosphorus Or Potassium Absorption. Magnesium Is A Mineral Needed In Trace Amounts To Help The Body Absorb Calcium.
83789-CPT	Low	Mass Spectrometry Qual Quan, Mass Spectrometry And Tandem Mass Spectrometry Eg Ms Ms Ms Maldi Ms Tof Qtof Non Drug Analyte S Not Elsewhere Specified Qualitative Or Quantitative Each Specimen
83876-CPT	Low	Blood Test For Immune Enzyme, This Test Identifies Deficiency Of Myeloperoxidase (Mpo) Which Is One Of Many Enzymes That Respond To The Presence Of Bacteria And Viruses.
83880-CPT	Low	Peptide Hormone Test, This Test Measures The Quantity Of Peptide Hormones In A Blood Sample And Can Help To Diagnose Various Types Of Heart Failure.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 83880 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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